Organization
CHARLESTON PLASTIC SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA CROSBY (OFFICE MANAGER)
(843) 722-1985
Entity
Organization
Contact information
Practice address
261 CALHOUN ST, SUITE 200, CHARLESTON, SC 29401-1371
(843) 722-1985
Mailing address
261 CALHOUN ST, SUITE 200, CHARLESTON, SC 29401-1371
(843) 722-1985
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA6840
—
SC
Enumeration date
06/28/2006
Last updated
08/22/2020
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